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welcome to Just Answer
I am a neurologist and am online to answer your questions
I will start to write as you are offline, please review this and get back to me when you come online
so one question would be about the concussion, what happened? how much velocity in impact?
was there a loss of conciousness? or change in level of conciousness? for how long
nausea/vomiting after as well? photophobia or light bothering his eyes after?
Hi Dr. Duncan was playing basketball and was pushed from behind and hit the padded wall on top of his head.
He didn't lose conciousness or vomited.
so no major impact
and that is why no imaging
The sunlight does bother him when it's really bright outside
well that suggests meningeal irritation
that comes from a neurochemical change in the brain as a result of the concussion
but does not in itself suggest frank bleeding
that is always the concern
is there a bruise or contusion from the trauma
as that could cause a seizure focus later on
but that does not seem to be the case here
I just want to make sure he does not need additional attention. No he did not have
I certainly understand your concern
but he certainly had a concussion from the history
and he should try not to have another, until his symptoms are completely gone
as then you can get an additive or synnergistic effect
yes, we took him to the ER because he got very dizzy and the headache he had was not going away
well that is a result of the trauma, but doesn't in itself suggest a bleed
so it's a matter of waiting until all symtoms are gone before allowing him to go back to soccer or pe
really should not be out there until all of his symptoms are gone
you look at the hockey players, it can take 4 to 6 months
and that is the way to do it
so it's "normal" that after 4 weeks he still have some symtoms
because we think the changes in the brain that occur come from a synergistic response to multiple hits
most get better in a few weeks
the criteria is if you did not have a change in level of conciousness
then it is 2 weeks off
but if you continue to have headaches, you are out
as far as we know this is the first time with a concussion, but he has had hits to the head before, but never this bad
so I know this is hard to keep him out
but you should try to limit his environment
keep it simple
as long as you can with the hope that his headaches go away
at this point what level of activity would be good. Swiming?
swimming and non-major aerobics are fine
or nothing at all ... walking
no contact sports
aerobics can also stimulate the vascular system in the brain too much
and keep his headache recurring
so gentle sports
ok... he is active but he feels the difference and that it's not ok yet...
yes, he has to feel normal
it's my husband who keeps asking what the dr says
now I can tell him that he may not be playing soccer this spring at all
well I am overly cautious, but those are the rules from a group of neurologists that evaluated sports injuries
he will improve hopefully soon
if he knows the Sidney Crosby story (pittsburgh penguin)
he knows he is not alone
I have no problem with being overly cautious, but really wanted to know from an expert. He sure will know this story being a Penguin fan himself.
if you want to hold on
I can find the neurology report
here is a statistical summary
but I am looking for the american academy of neurology report
sorry to keep you waiting
I cannot find it anywhere
here is a more recent article that defines guidelines for time
he should be out
I hope that helps when you discuss it with him
It's ok. Dr. THANK YOU so much for answering all my questions and for giving me peace of mind.
sure good luck
come back if I can help
I will read all of this information.
Dr Frank T